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RC201 .5  .Un32  1920  Revised  rules  and  re 


U.S.  -  Interdepartmental  social  hygiene  board, 
...  Revised  rules  and  regulations  governing 

expenditures  from  state  allotments  of 
the  Chamberlain-Kahn  funds. 


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UNITED  STATES  INTERDEPARTMENTAL  SOCIAL 
HYGIENE  BOARD       ::       ::       WASHINGTON.  D.  C. 


REVISED  RULES  AND  REGULATIONS 

EXPENDITURES  FROM  STATE  ALLOT- 
MENTS  OF  THE  CHAMBERLAIN-KAHN 
FUNDS  FOR  THE  PREVENTION,  TREAT- 
MENT, AND  CONTROL  OF  VENEREAL 
DISEASES  FOR  THE  FISCAL  YEAR  1921 


JUNE.  1920 


WASHINGTON 

GOVERNMENT  PRINTING  OFFICE 

1920 


UNITED   STATES,  INTERDEPARTMENTAL  SOCIAL 
HYGIENE  BOARD       ::       ::       WASHINGTON,   D.  C. 


REVISED  RULES  AND  REGULATIONS 

11^^=^^=:^===:  governing  1^=^^^^===:^=: 

EXPENDITURES  FROM  STATE  ALLOT- 
MENTS OF  THE  CHAMBERLAIN-KAHN 
FUNDS  FOR  THE  PREVENTION,  TREAT- 
MENT, AND  CONTROL  OF  VENEREAL 
DISEASES  FOR  THE  FISCAL  YEAR  1921 


JUNE,  1920 


WASHINGTON 

GOVERNMENT  PRINTING  OFFICE 

1920 


UNITED  STATES 
Interdepartmental  Social  Hygiene  Board. 
Washington, 
members.  officers. 


David  K.  Houston, 

Secretary  of  the  Treasury. 
Newton  D.  B.\ker, 

Secretary  of  War. 
JosEPHus  Daniels, 

Secretary  of  the  Navy. 
AssT.  StJEG.  Gen.  C.  C.  Pierce, 

U.  S.  Public  Health  Service. 
Col.  p.  M.  Ashblt.n, 

Medical  Corps,  U.  S.  A. 
Lieut.  Commandee  J.  R.  Phelps, 

Medical  Corps,  U.  S.  N. 


CHAIRMAN  OF  THE   BOARD. 

JosEPHUS  Daniels, 

Secretary  of  the  Navy. 

EXECUTIVE  committee. 

Asst.  Sueg.  Gen.  C.  C.  Pierce, 

U.  S.  P.  H.  S.,  Chairman. 
Col.  p.  M.  Ashbuen,  U.  S.  A. 
Lieut.  Commander  J.  R.  Phelps,  U.  S. 

EXECUTIVE   SECRETAEY 

T.  A.  Storet,  M.  D.,  Ph.  D. 


(2) 


RULES  AND  REGULATIONS  GOVERNING  EXPENDITURES  FROM  THE  STATE 
ALLOTMENTS  OF  THE  CHAMBERLAIN-KAHN  FUNDS  FISCAL  YEAR  1921. 


APPEOPRTATIONS. 

1.  Appropriations  1919  and  1920. — The  Sixty-fifth  Congress 
appropriated  the  sum  of  $1,000,000  for  each  of  the  fiscal  years  1919 
and  1920,  to  be  paid  to  the  various  States  for  the  use  of  tlieir  boards 
or  departments  of  healtli  in  the  prevention,  control,  and  treatment  of 
venerea]  diseases;  this  sum  to  be  allotted  to  each  State  on  the  basis 
of  tlie  1910  population  in  accordance  v:ith  the  rules  and  regiilaiions  of 
the  Secretary  of  the  Treasury. 

2.  Cliamberlain-Kalin  Act. — This  act  is  known  as  the  Chataber- 
Tain-Kahn  Act  and  constitutes  Chapter  XV  of  the  "Act  making 
1  appropriations  for  the  support  of  the  Arm}"  for  the  fiscal  year  ending 

June  thirtieth,  nineteen  hundred  and  nineteen." 
This  act  reads  in  part  as  follows : 

United  States  Interdepartmental  Social  Hygiene  .Board:  That  there'  is 
hereby  created  a  board  to  be  known  as  the  United  States  Interdepartmental  Sccial 
Hygiene  Board,  to  consist  of  the  Secretary  of  War,  the  Secretary  of  the  Navy,  and  the 
Secretary  of  the  Treasury  as  ex  officio  members,  and  of  the  Sm'geon  General  of  the 
Army,  the  Surgeon  General  of  the  Public  Health  Service,  or  of  representatives  desig- 
nated by  the  Secretary  of  Wai',  the  Secretary  of  the  Na\'y',  and  the  Secretary  of  the 
Treasury,  respectively. 

*  *  *  That  there  is  hereby  appropriated  out  of  any  moneys  in  the  Treasury  not 
otherwise  appropriated  *  *  *  the  sum  of  §1,000,000,  which  shall  be  paid  to  the 
States  for  the  use  of  their  respective  boards  or  departments  of  health  in  the  prevention, 
control,  and  treatment  of  venereal  diseases;  this  sum  to  be  allotted  to  each  State,  in 
accordance  with  the  rules  and  regulations  prescribed  by  the  Secretary  of  the  Treasury 
in  the  proportion  which  its  population  bears  to  the  population  of  the  continental 
United  States,  exclusive  of  Alaska  and  the  Canal  Zone,  according  to  the  last  preced- 
ing United  States  census,  and  such  allotment  to  be  so  conditioned  that  for  each  dollar 
paid  to  any  State  the  State  shall  specifically  appropriate  or  otherwise  set  aside  an  equal  amount 
for  the  prevention,  control,  and  treatment  of  venereal  diseases,  except  for  the  fiscal  year 
ending  June  thirtieth,  nineteen  hundred  and  nineteen,  for  which  the  allotment  of 
money  is  not  conditioned  upon  the  appropriation  or  setting  aside  of  money  by  the 
State,  pro\dded  that  any  State  may  obtain  any  part  of  its  allotment  for  any  fiscal 
year  subsequent  to  June  thhtieth,  nineteen  hundred  and  nineteen,  by  specifically 
appropriating  or  otherwise  setting  aside  an  amount  equal  to  such  part  of  its  allotment 
for  the  prevention,  control,  and  treatment  of  venereal  diseases. 

3.  Rules  and  regulations  of  the  Secretary  of  the  Treasury. — 

Under  date  of  September  4,  1918,  the  Secretary  of  the  Treasury 
promulgated  rules  and  regulations  which  provided  that  State  allot- 
ments shall  be  expended  along  general  standard  lines  for  all  States 
and  in   accordance  vntli  an  accounting  system  to  he  forwarded  hi/  the 

(3) 


United  Stahs  JnterdeT'drtmeniaJ  Socio/  Ilyr/lfne  Board.  Hence  the 
roi^ulations  of  this  i)oaifl  L'ovoniiii.o;  these  expenditures  are  given  the 
effect  of  law. 

These  regulations  of  the  Secretary  of  the  Treasiuy  are  as  follows: 

REOULATIOXS 

Promulgated  by  the  Secretary  of  the  Treasury,  under  which  State  boards  or  State 
departments  of  health  receive  the  allotment  of  funds  provided  in  section  B.  Chapter 
XV,  of  the  act  approved  July  9,  entitled  "'An  act  making  appropriations  for  the 
support  of  the  Army  for  the  fiscal  year  ending  June  30,  1919."' 
The  act  provides  that  $1,000,000  shall  be  distributed  to  the  States  for  the  use  of 
their  respective  boards  or  departments  of  health  in  the  prevention,  control,  and  treat- 
ment of  venereal  diseases,  this  sum  to  be  allotted  to  each  State,  in  accordance  with 
rules  and  regulations  prescribed  by  the  Secretary  of  the  Treasury,  in  the  proportion 
which  its  population  bears  to  the  population  of  the  continental  United  States,  exclu- 
sive of  Alaska  and  the  Canal  Zone,  according  to  the  last  preceding  United  States  census. 
State  boards  or  departments  of  health  receiving  their  respective  allotments  shall 
agree  to  the  following  cooperative  measines  under  which  their  appropriation  shall  be 
expended: 

1.  Put  into  operation,  through  a  legislative  enactment  or  a  State  board  of  health 
regulation  having  the  effect  of  law,  regulations  in  conformity  with  the  suggestion.'? 
approved  by  the  Surgeons  General  of  the  Army,  Navy,  and  United  States  Public 
Health  Service,  for  the  prevention  of  venereal  diseases.  The  mmimum  requirements 
of  these  rules  are: 

(a)  Venereal  diseases  must  be  reported  to  the  local  health  authorities  in  accordance 
with  State  regulations  approved  by  the  United  States  Public  Health  Service. 

(6)  Penalty  to  be  imposed  iipon  physicians  or  others  required  to  report  venereal 
infections  for  failure  to  do  so. 

(c)  Cases  to  be  investigated,  so  far  as  practicable,  to  discover  and  control  sources  of 
infection. 

(d)  The  spread  of  venereal  diseases  should  be  declared  unlawful. 

(e)  Provision  to  be  made  for  control  of  infected  persons  that  do  not  cooperate  in 
protecting  others  from  infection. 

(f)  The  travel  of  venereally  infected  persons  within  the  State  to  be  controlled  by 
State  boards  of  health  Ijy  definite  regulations  that  will  conform  in  general  to  the 
interstate  regulations  to  be  established. 

(g)  Patients  to  be  given  a  printed  circular  of  instructions  informing  tliem  of  the 
necessity  of  measures  to  prevent  the  spread  of  infection  and  of  the  importance  of 
continuing  treatment. 

2.  An  officer  of  the  Puljlic  Health  Service  shall  be  assigned  to  each  State  receiving 
allotments  for  the  general  purpose  of  cooperating  with  the  State  health  officer  in  su- 
pervising the  venereal-control  work  in  the  State.  This  officer  to  be  selected  by  the 
State  health  authorities  and  to  be  approved  and  recommended  for  appointment  by 
the  Surgeon  CJeneral  of  the  Public  Health  Service.  The  salary  of  this  officer  will  be 
paid  by  the  State  out  of  the  funds  made  available  from  the  allotment,  except  a  nomi- 
nal sum  of  .$10  per  month,  which  will  he  paid  liy  the  United  States  Public  Health 
Service.  In  tluwe  States  where  a  bureau  of  venereal  diseases  has  already  been  es- 
tabli.shed,  with  a  full-time  medical  officer  in  charge,  the  present  incumbent  may 
be  recommended  for  appctintment  by  the  State  health  officer,  and,  with  the  approval 
of  the  Surgeon  (leneral,  United  States  Pul)lic  Health  Service,  he  will  be  appointed 
as  an  officer  of  the  Public  Health  Service.  The  general  plan  of  work  for  the  State 
bureau  of  venereal  diseases  will  V)e: 

ifi)  Securing  reports  of  venereal  infections  from  physicians  and  others  required 
to  report  in  accordance  with  State  laws. 


(b)  Suppressive  measures,  including  the  isolation  and  treatment  in  detention  hos- 
pitals of  infected  persons  who  are  unable  or  un\\illing  to  take  measures  to  prevent 
themselves  becoming  a  menace  to  others,  the  establishment  of  free  clinics  for  the 
treatment  of  venereal  diseases,  and  the  elimination  of  conditions  favorable  to  the 
spread  of  venereal  infections. 

[C)  Extension  of  facilities  for  early  diagnosis  and  treatment  through  laboratory 
facilities  for  exact  diagnosis  and  scientific  determination  of  condition  before  release 
as  noninfectious,  in  accordance  with  the  standardized  procedure  that  will  be  pre- 
scribed by  the  United  States  Public  Health  Service. 

id)  Educational  measures  to  include  informing  the  general  public,  as  well  as 
infected  indi^•iduals,  in  regard  to  the  natiire  and  manner  of  spread  of  venei'eal  diseases 
and  the  measures  that  should  be  taken  to  combat  them. 

(e)  Cooperation  with  local  civil  authorities  in  their  efforts  to  suppress  public  and 
clandestine  prostitution.  The  clinics  referred  to  under  (b)  will  form  centers  from 
which  the  other  measures  may  be  conducted  by  discovering  the  presence  of  infec- 
tions, the  seeming  of  data  for  enforcing  the  regulations  for  reporting  these  diseases, 
and  the  institution  of  educational  measures  appropriate  to  particular  communities. 
The  immediate  reduction  in  venereal-disease  foci  resulting  from  clinic  treatment  will 
result  in  a  marked  decrease  in  the  prevalence  of  such  diseases  in  both  the  military 
and  civil  population. 

(/)  Accurate  detailed  records  must  be  kept  of  all  the  acti^ities  of  the  venereal- 
disease  work.  These  will  include  careful  records  of  each  case  treated,  amount  of 
arsphenamine  used,  final  results,  and  disposition  made  of  patients.  Copies  of  these' 
records  must  be  forwarded  to  the  Surgeon  General,  United  States  Public  Health 
Service,  as  a  report  at  such  intervals  as  they  may  be  requested,  and  in  accordance 
with  instructions  regarding  the  form  of  report. 

3.  Local  funds  that  may  be  available,  or  that  may  become  available  from  legis- 
lative appropriations  or  any  other  source  for  veneral-disease  control,  shall  be  used  by 
the  State  or  city  health  authorities  ha^ing  jmisdiction  for  the  extension  of  the  work, 
and  such  local  funds  must  not  be  conserved  through  the  expenditure  of  the  funds  that  are 
allotted  by  the  Congress  through  the  United  States  Interdepartmental  Social  Hygiene 
Boarfj.. 

4.  In  extension  of  the  educational  measures  the  State's  health  authorities  and  its 
bureau  of  venereal  diseases  shall  exert  their  efforts  and  influence  for  the  organization 
of  a  State  venereal-disease  committee  that  will  be  unofficial  in  character,  but  a 
valuable  cooperative  agency  for  furthering  the  comprehensive  plan  for  nation-wide 
venereal-disease  control. 

5.  The  State  health  authorities  shall  take  such  measures  as  may  be  found  practicable 
and  decided  upon  in  conference  between  the  Public  Health  Ser\ice  and  State  board 
of  health  representatives  for  the  pm'pose  of  securing  such  additional  legislation  as 
may  be  required  for  the  development  of  control  of  the  spread  of  A'enereal  infections. 
Action  shall  be  taken  to  limit  or  suppress  the  activities  of  advertising  '"specialists" 
and  quacks  by  prosecuting  them  under  State  laws,  or  such  other  measures  as  may  be 
applicable  and  effective. 

6.  In  expending  the  sum  allotted  a  State,  the  rules  and  regulations  to  be  promul- 
gated by  the  United  States  Interdepartmental  Social  Hygiene  Board  for  the  expenditure 
of  the  81,000,000  civilian  quarantine  and  isolation  fund  under  control  of  the  Secretary 
of  War  and  Secretary  of  the  Xavy  shall  be  given  consideration  by  Public  Health 
Ser\ice  and  State  board  of  health  representatives,  so  that  the  military  necessities  of 
each  particular  State  may  receive  the  consideration  due  its  relative  importance,  and 
so  that  funds  from  the  two  sources  mav  be  correlated. 


(J 

7.  The  State  aUotment  shall  be  expended  along  general  standard  lines  for  all  States 
and  in  accordance  vith  an  accounting  system,  to  be  foncarded  by  the  United  States  Inter- 
departmental Social  Hygiene  Board,  approximately  as  follows: 

(a)  For  treatment  of  infected  persons  in  hospitals,  clinics,  and  other  institutions, 
including  arsphenamine  and  other  drugs,  50  per  cent  of  the  allotment. 

(6)  In  carrj-ing  out  educational  measures,  20  per  cent. 

(c)  In  carrying  out  repressive  measures,  20  per  cent. 

id)  In  general  administration  and  other  activities  of  venereal-disease  control  work, 
10  per  cent. 

(This  distribution  is  provisional  and  subject  to  modification  after  conference  and 
agreement  between  each  State  and  the  United  States  Public  Health  Ser\ice  to  best 
meet  the  needs  of  the  particular  State. ) 

8.  In  carrj-ing  out  the  general  Government  program  the  administrative  organiza- 
tion of  the  United  States  Public  Health  SerAice  will  be  available  at  all  times  to 
State  organizations  in  cooperative  work,  and  assistance  ^vill  be  given  to  States  when- 
ever possible  through  the  detail  of  employees,  the  secixring  of  arsphenamine,  provid-' 
ing  literature  for  the  educational  measures  and  in  such  other  ways  as  may  be  found 
practicable  as  the  work  develops. 

W.  G.  McAdoo, 
Secretary  of  the  Treasury. 
V\'ashixgtox,  D.  C,  September  4,  1918. 

4.  Appropriation  for  fiscal  year  1921. — For  the  fiscal  year  ending 
June  30,  1921,  Congress  provided  in  the  sundry  civil  bill  the  follo^^dng 
appropriation  for  the  cooperative  work  with  the  States: 

The  duties  and  powers  conferred  upon  the   United  States  Interdepartmental  Social 
Hygiene  Board  by  Chapter  XV  of  the  Army  appr(ipriation  act  approved  July  9,  1918, 
with  respect  to  the  expenditure  of  the  appropriations  made  therein  are  extended  and 
made  applicable  to  the  appropriations  y'or  similiar  purposes  made  in  this  act. 
*  *  -s  *  *  *  * 

For  allotment  to  the  various  States  for  prevention,  treatment,  and  control  of  venereal 
diseases,  $450,000;  and  the  unexpended  balance  on  June  30,  1920  (approximately 
$300,000),  of  the  appropriation  heretofore  made  for  this  purpose  is  continued  and  made 
available  during  the  fiscal  year  1921 :  Provided,  That  no  part  of  this  sum  shall  be  allotted 
to  any  State  unless  such  State,  in  a  manner  satisfactory  to  the  board,  shall  have  complied 
vith,  and  shall  have  given  assurance  of  continued  compliance  uith.  the  condition  and  regu- 
lations gorerning  such  allotments  and  the  expenditures  that  m.ay  be  made  therefrom. 

5.  Reduction  in  appropriation  for  1921. — It  will  be  noted  from 
the  above  act  of  Congress  that  the  Federal  Goverinnent's  appropria- 
tion for  allotment  to  the  States  was  reduced  from  SI, 000, 000  for  1919 
and  $1,087,831.41  for  1920  to  8450,000  plus  the  unallotted  balance  of 
June  30,  1920. 

0.  Allotment  to  States  1921. — At  the  present  writing  the  exact 
amount  which  will  be  available  for  allotment  to  States  for  the  pre- 
vention, control,  and  treatinent  of  venereal  diseases  is  not  definitely 
known,  and  will  not  be  until  after  July  1,  for  the  reason  that  Congress 
appropi-iated  the  unexpended  balance  (the  balance  for  which  the 
States  tlid  not  (|ualify  for  by  s])ecificall3'  ap])ropriating  or  otherwise 
setting  aside  an  equal  amount).  At  the  time  this  appropriation  was 
being   considered   by   Congress   it   was   estimated    this   unexpended 


balance  would  be  approximately  $350,000,  but  since  some  States 
have  qualified  subsequently,  this  estimated  balance  will  be  very 
materially  decreased.  States  will  be  advised  regarding  the  exact 
total  and  the  allotment  to  each  as  soon  as  it  is  definitelv  determined. 


ALLOTMENTS PEECENTAGE POPULATIOX. 

7.  Basis  of  allotments  to  States. — In  accordance  with  the  act 
of  Congress  directing  that  papnents  to  be  made  to  the  States  be 
allotted  to  each  State  in  proportion  which  its  population  bears  to  the 
population  of  the  continental  United  States  according  to  the  last 
preceding  United  States  census,  the  allotments  for  1919-20  and  1921 
are  based  on  the  followincr  table: 


Population  of  Continental  United  States.  Census  of 

1910. 

state. 

Population. 

Percentage. 

i 

1                  State. 

Population. 

Percentage. 

2,138,093 

204, 354 

1.. 574, 449 

2, 377,  .549 

799, 024 

1, 114, 756 

202, 322 

331,069 

752, 619 

2, 609, 121 

325,594 

5,63.8,  .591 

2,700,876 

2,224,771 

1,690,949 

2,289,905 

1,6.56,388 

742,371 

1,295,346 

3,366,416 

2, 810, 175 

2,075,708 

1,797,114 

3,293,335 

376,053 

1,192,214 

2. 324715 

1  Nevada 

81,875 

430, 572 
2,537,167 

327,301 
9,113,614 
2, 206, 287 

557, 056 
4,767,121 
1,657,1.55 

672, 765 
7,665,111 

542, 610 
1,51.5,100 

583, 888 
2,184,789 
5,  896, 542 

373,351 

3.5.5,9.56 
2,061,612 
1,141,990 
1,221,119 
2, 333, 860 

145,965 

0. 089021 

.222191 
1. 711874 
2.  585072 

. 868766 
1,2120.57 

. 219981 

.  359966 

.818311 
2.  836856 

. 354013 
6. 130751 
2. 936620 
2.41895S 
1.  838542 
2. 489777 
1. 800965 

. 807168 
1.408409 
3. 660251 
3. 055457 
2. 25688.5 
1. 953974 
3. 580791 

.  408876 
1. 296275 

1  New  Hampsliire 

. 468154 

I  New  Jersey- 

2. 758622 

New  Mexico 

.  355870 

9. 909089 

North  Carolina 

2. 398861 

N  orth  Dakota 

. 627424 

Ohio 

5. 183216 

Florida 

Oklahoma 

1. 801799 

. 731487 

8. 334155 

Rhode  Island 

. 589972 

South  Carolina 

1.647671 

. 634852 

Tennessee 

2.37-5487 

Texas 

4.236649 

Utah          

. 405939 

. 387026 

2.2415.58 

1. 241668 

1.327704 

2. 537570 

Mississippi 

Missouri 

.  158705 

Total          

91,972,266 

100 

Nebraska 

UNEXPENDED    BALANCES,  1919-20. 

8.  Comptroller's  decision. — Under  date  of  May  18,  1920,  the 
Board  addressed  a  letter  to  the  Comptroller  of  the  Treasury  in  part  as 
follows : 

If  a  State,  in  accordance  with  the  above  quoted  section  of  the  act,  did  "specifically 
appropriate  or  otherwise  set  aside"  an  amount  equal  to  the  Federal  allotment  for  the 
fiscal  year  ending  June  30,  1920,  and  by  so  doing  complied  with  the  act.  does  this  action 
of  the  State  create  a  liability  against  the  appropriation  made  by  Congress  lohich  may  be 
paid  by  the  Board  after  June  30,  1920?  If  the  action  of  the  State  in  specifically  appro- 
priating or  otherwise  setting  aside  an  equal  amount  may  be  considered  as  creating 
a  liability  against  the  appropriation,  the  Board  ivould  like  to  continue  making  monthly 
disbursements  of  50  per  cent  of  the  paid  vouchers  submitted,  rather  than  to  pay  over  to  the 
States  before  June  30,  in  a  lump  sum  the  balance  due  them,  and,  therefore,  it  is  respect- 
fully requested  that  you  advise  me  if  the  Board  is  authorized  to  use  its  judgment  as  to  the 
advisability  of  making  monthly  payments,  or  paying  in  full,  after  the  expiration  of  the 
fiscal  year,  any  balance  due  a  State  on  its  allotment  for  the  fiscal  year  ending  June  30, 
1920. 


1 

In  reply  to  that  letter  the  comptroller  advised  as  follows: 

The  authority  to  make  allotments  to  the  State  given  by  the  act  of  June  30,  1919 
(40  Stat.,  886),  is  in  accordance  with  rules  and  regulations  prescribed  by  the  Secre- 
tary of  the  Treasury.  The  allotment  itself  is  in  such  cases  the  actual  incurrence  of  lia- 
bility against  the  appropi-iation,  and  that  having  been  made  within  the  fiscal  year  the 
subsequent  data  required  do  not  affect  the  use  of  the  appropriation. 

board's  regulations  regarding  payment  of  balances. 

9.  In  accordance  with  this  ruling  the  Board  has  adopted  the 
following  rules  regarding  payments  of  the  balance  due  the  State  for 
the  fiscal  years  1920  and  1921: 

(a)  In  the  discretion  of  the  Board  no  further  payments  will  be  made 
to  a  given  State  from  its  allotment  that  became  available  for  the 
Federal  fiscal   year   1920  until  that  State  has  spent  and  satisfactorily' 
accounted  for  the  allotment  paid  over  to  it  for  the  Federal  f  seal  year  1919.^. 

(h)  When  a  given  State  shall  have  expended  and  satisfactorily  | 
accounted  for  the  entire  allotment  paid  over  to  it  by  the  Board  for 
the  Federal  fiscal  year  1919  the  Board,  in  its  discretion,  will  pay 
over  to  the  treasurer  of  that  State,  in  a  lump  sum,  the  entire  bal- 
ance of  the  allotment  due  that  State  for  the  Federal  fiscal  year  1920. 

(c)  In  the  discretion  of  the  Board  no  payment  will  be  made  to  a 
given  State  from  its  allotment  for  the  Federal  fiscal  year  1921  until 
that  State  has  expended  and  satisfactorily  accounted  for  the  joint 
halance  on  hand,  that  is,  for  its  allotment  from  the  Government  and 
also  for  its  own  balancing  appropriation  covering  that  allotment 
from  the  Government  for  the  Federal  fiscal  year  1920. 

(d)  States  will,  however,  commencing  July  1,  1920,  begin  making 
disbursements  from  their  State  appropriations,  for  the  fiscal  yea?  - 
1921,  accounting  for  the  same  on  a  pinlc  colored  voucher  form  to  b©- 
provided  by  the  Board  for  that  purpose.  The}"  will  do  this  regard- 
less of  whether  or  not  the  Board  is  withholding  payments  for  any 
prior  fiscal  year.  These  vouchers  which  are  to  be  paid  entirely 
from  the  State  appropriations  for  the  fiscal  year  1921,  will  be  sub- 
mitted to  the  Board  monthly  and  summarized  on  the  ^9wfc  colored 
monthly  report  to  be  provided  b}^  the  Board  for  that  purpose.  The 
Board  will  audit  these  vouchers  as  received,  but  withhold  making 
50  per  cent  payment  until  the  previous  allotment  or  allotments  for 
prior  fiscal  years  are  accounted  for  and  approved  hy  the  Board. 

state  certificates. 

10.  Certifying  to  State  appropriations. — Before  any  State  may 
receive  any  ])ortic)n  of  its  allotment  for  which  it  has  qualified  by 
specifically  a])])r<)])riating  or  otherwise  setting  aside  a  specified  sum  of 
money,  it  will  be  necessary  for  the  State  treasurer  to  deliver  to  the 
United  States   Interdepartmental  Social   Hygiene  Board,   properly 


13 

UNIFORM    ACCOUNTING. 

26.  In  order  that  all  States  may  have  a  uniform  system  of  account- 
ing, the  Board  has  prepared  special  voucher  forms  and  monthly  report 
forms  to  be  used  by  all  States  in  transmitting  their  accounts  to  Wash- 
ington for  settlement. 

'  VOUCHER    FORM. 

27.  All  disbursements  made  from  these  funds  (both  State  and  Federal), 
including  salary  payments  and  reimbursement  for  travel,  are  to  be 
submitted  on  the  special  form  of  the  Board. 

28.  Year  1919. — In  disbursino-  the  remainder  of  the  allotment  for 
the  fiscal  year  1919,  the  white  voucher  Form  No.  8  and  white  monthly 
report  Form  No.  9  will  be  used. 

29.  Years  1920  and  1921.— In  disbursing  the  balance  of  the  1920 
joint  State  and  Federal  fund,  the  blue  voucher  Form  No.  8-A  and  the 
blue  monthly  report  Form  No.  9-A  will  be  used,  and  in  disbursing  the 
joint  State  and  Federal  fund  for  the  fiscal  year  1921  the  pink  voucher 
Form  No.  8-B,  and  the  pink  monthly  report  Form  No.  9-B,  will  be 
used. 

30.  Use  of  right  form. — Special  attention  is  directed  to  the  use 
of  the  right  form  when  forwarding  disbursements  to  the  Board. 
Youchers  submitted  on  the  wi'ong  forms  will  be  returned. 

31.  Number  of  voucliers  to  be  made. — These  vouchers  may  be 
made  in  duplicate,  triplicate,  or  c[uadruplicate,  in  accordance  with 
the  special  recjuirements  of  each  State.  One  copy  shall  be  forwarded 
to  the  United  States  Interdepartmental  Social  Hygiene  Board  in 
Washington,  D.  C,  and  one  or  more  copies  may  be  retained  by  the 
State. 

32.  Signatures. — The  State  officers  must  assume  all  responsibility 
for  liabilities  incurred  in  connection  with  the  expenditures  of  these 
funds,  must  prepare  the  voucher  forms  approving  the  same  as  correct, 
obtafti  the  signature  of  the  payee  and  the  certificate  of  the  paying  offi- 
cial. The  paying  official  must  in  all  cases  obtain  the  personal  signa- 
ture of  the  payee  and  certify  to  the  payment.  Vouchers  signed  for 
the  payee  per  someone  else  can  not  be  accepted  unless  a  satisf  actoiy 
explanation  accompanies  the  voucher,  but  salary  and  traveling  ex- 
pense vouchers  under  no  circum.stances  will  be  accepted  unless  they 
bear  the  payee's  personal  signature.  Rubber  stamp  signature  of  the 
approving  official  or  the  pa^'ing  official  is  not  acceptable  unless 
initialed  by  the  person  designated  to  use  the  same,  and  in  such  cases 
a  letter  must  be  forwarded  to  the  board  advising  the  name  of  the  per- 
son authorized  to  initial  and  submitting  a  specimen  of  the  rubber 
stamp  signature  and  initials  of  person  designated  as  they  will  appear 
on  the  vouchers. 

33.  Company  or  corporation. — Where  a  voucher  is  certified  in 
the  name  of  a  company  or  corporation,   the  name  of  the  person 


14 

writing  the  company  or  corporate  name,  as  well  as  the  capacity  in 
which  he  signs,  must  appear.  Example:  "Chicago  Edison  Co.,  per 
John  Smith,  member  of  firm,"  or  "secretary"  or  "treasurer,''  as 
the  case  may  be.  A  complete  signature  with  a  rubber  stamp  is  not 
acceptable. 

34.  More  than  one  item. — One  voucher  may  contain  any  number 
of  items,  but  must  be  made  out  in  the  name  of  hut  one  individual,  firm, 
or  corporation.  Where  there  are  a  number  of  items  appearing  on  the 
bill,  the  invoice  of  the  payee  may  be  attached  to  the  vouchei',  and  a 
statement  made  on  the  face  of  the  voucher  "as  per  invoice  hereto 
attached,"  extending  the  total  and  classifying  as  if  one  item,  but  in 
all  such  cases  the  itemized  invoice  must  be  attached  to  the  voucher 
transmitted  to  this  office. 

35.  Reimbursement  for  casli  purchases. — An  official  making 
numerous  small  purchases  and  paying  cash  at  the  time  from  his  personal 
funds  and  obtaining  receipted  bills  for  such  purchases  may,  by  attach- 
ing such  miscellaneous  receipts  to  a  voucher  drawn  payable  to  himself,, 
obtain  reimbursement  for  such  expenditures.  In  all  such  cases  he 
will  be  required  to  list  on  the  voucher  the  vendors'  names  and  the 
amounts  paid  each.  The  voucher  forwarded  to  this  office  must  also  have 
the  receipted  hills  attached.  This  procedure  is  authorized  only  in  cases 
of  emergency  or  where  the  purchase  amounts  to  less  than  $1  and  is 
not  to  be  interpreted  as  authorizing  the  use  of  subvouchers  covering 
small  monthly  or  periodical  payments  such  as  telephone,  ice,  rent,, 
etc.,  to  avoid  forwarding  individual  vouchers,  and  in  no  case  must 
such  a  reimbursement  voucher  contain  a  payment  for  personal 
service. 

36.  Travel  expenses. — Reimbursement  of  travel  expenses  must  be 
handled  as  follows :  In  no  case  will  travel  expenses  be  allowed  which 
are  not  confined  to  the  usual  expenses  incurred  for  the  ordinary  com- 
forts of  a  traveler.  Receipts  should  be  obtained  for  transportation  and 
hotel  bills,  when  possible  to  do  so,  but  it  will  be  unnecessary  to  obtain 
receipts  for  meals  and  the  various  small  incidental  expenses  of  travel 
unless  required  by  the  State. 

When  supplies  are  purchased  while  in  a  travel  status,  receipted  in- 
voices of  the  dealer  must  be  attached  to  the  travel  voucher  to  sub- 
stantiate the  claim. 

If  certified  statements  of  travel  expenses  made  on  a  State  form  are 
available,  it  is  requested  that  the  same  be  attached  to  the  voucher 
transmitted  to  this  office.  If,  however,  State  officials  require  these 
statements  and  invoices,  copies  should  be  made  for  transmittal  with 
the  voucher.  In  the  absence  of  such  a  statement  or  copj^^,  the  travel 
expense  should  be  itemized  as  completely  as  possible  on  the  face  of 
the  voucher,  as  the  mere  statement  "Traveling  expenses"  is  not  con- 
sidered sufficient. 


15 

If  it  should  be  necessar}^  to  use  taxicabs  or  automobiles  while  in 
a  travel  status,  the  voucher  should  contain  the  following  notation: 
/'No  other  means  of  transportation  available." 

Where  a  State  authorizes  automobile  mileage  and  the  same  is  paid 
from  the  State  appropriation  and  submitted  on  the  special  State  form 
covering  ouch  expenditure,  it  will  be  allowed  by  the  Board. 

"Travel  outside  of  the  State  will  not  be  approved  unless  authorized 
by  the  Board. 

Books  containing  blank  receipts  conveniently  printed  and  small 
daily  expense  account  books  for  travelers  will  be  supplied  b}"  the 
Board  upon  request. 

37.  Salaries. — In  making  vouchers  covering  payment  of  salary  for 
services  rendered,  the  date  ''from''  and  ''to"  which  payment  is  being 
made  (both  these  dates  inclusive)  must  be  shown  on  voucher,  as  well 
a,s  the  designation  of  position  (i.  e.,  stenographer,  V.  D.  officer,  etc.) 
and  the  monthly  or  annual  rate  of  compensation. 

38.  No  employee  of  the  United  States  Interdepartmental 
Social  Hygiene  Board  shall  receive  any  salary,  travel  expense, 
allowance,  or  compensation  of  any  nature  whatsoever  from 
any  State  for  services  rendered  in  connection  with  their  official 
duties. 

CLIMCS. 

39.  Preparation  of  voucher. — In  preparing  voucher  to  cover 
reimbursement  to  clinics,  detention  houses,  and  like  institutions  for 
salaries,  treatment,  maintenance,  supplies,  or  equipment,  the  voucher 
must  be  accompanied  by  an  itemized  statement  giving  details  of  the 
expenditures  incurred. 

40.  Advance  payments. — In  no  case  shall  any  amounts  be 
advanced  to  these  institutions  or  clinics  before  the  liabilities  are 
actual!}^  incurred  by  them. 

41.  Subsidies  to  clinics. — Payments  in  advance  of  the  actual 
performance  of  the  service  or  the  deliver}^  of  the  supplies  is  strictly 
forbidden  by  Federal  law  and  wiU  not  be  allowed  under  anij  circum- 
stance. Therefore,  advance  payraents  to  clinics  under  the  name  of 
"subsidies"  is  prohibited  by  the  Board  and  no  such  payments  shall 
be  made  in  advance  of  the  expiration  of  the  period  covered  by  the 
designated  ' '  subsid}^ ' '  However,  there  is  no  obj ection  to  making  such 
pay-ments  on  a  monthly  basis,  provided  the  paijmenis  are  not  made 
until  the  expiration  of  the  month  designated  in  the  voucJier. 

OBTAINING    SIGNATURES    TO    VOUCHERS. 

42.  In  advance  of  payment. — In  order  to  secure  signatures  to 
vouchers  promptly  and  thus  avoid  any  delay  in  obtaining  reimburse- 
ment, it  is  suggested  that  the  vouchers  be  completely  prepared,  w^ith 
the  exception  of  the  approvals  and  voucher  number,  and  forwarded  to 


16 

the  payeo  with  a  form  k^ttor  requesting  that  the  voucher  he  properly 
signed  and  returned,  stating  that  check  will  be  forwarded  promptly 
upon  the  return  of  the  same.  This  is  the  procedure  followed  by  all 
the  Government  departments  and  is  recommended  in  the  disburse- 
ment of  this  fund  by  the  States.  There  can  be  no  reasonable  objec- 
tion raised  b}'  the  payee,  for  the  reason  that  the  States  are  responsible 
and  reliable  and  the  form  letter  requesting  the  signature  in  advance 
of  the  payment  is  ample  protection  to  the  payee  in  case  the  payment 
shoidd  not  be  made  as  promised. 

43.  After  the  payment  is  made.— In  States  where  the  procedure 
is  to  forward  the  vouchers  for  signature  with  the  State  warrant,  or 
after  the  payment  has  been  matle,  the  vouchers  so  forwarded  should 
not  be  given  a  number  until  it  is  returned.  This  will  avoid  the  neces- 
sit}-  for  holding  vouchers  otherwise  ready  to  submit  pending  the 
receipt  of  one  or  two  vouchers  forwarded  for  signature  and  not 
returned  in  time  to  be  included  in  the  disbursements  for  the  month. 
These  delayed  vouchei-s  may  then  be  given  a  number  whenever 
received  and  transmitted  to  the  Board  with  the  next  regular  report. 

BOOKS,    PERIODICALS,    AXD    AUTOMOBILES. 

44.  Prohibited. — Particular  attention  is  called  to  the  fact  that  the 
use  of  this  appropriation  for  the  purchase  of  books,  newspapers,  or 
periodicals,  or  the  purchase  of  any  motor-propelled  or  horse-drawn 
vehicle  for  carrying  passengers  or  any  expenses  in  connection  with  the 
operation  thereof  is  prohibited.  The  Board  prohibits  also  the  hiring 
of  such  vehicles  where  the  hiring  by  itscontinuousness  is  the  effuivalent 
of  a  purchase. 

45.  Hire  ol'taxicabs  and  automobiles. — However,  when  a  person 
is  in  a  travel  status,  temporary  hiiing  of  vehicles  as  a  means  of  trans- 
portation between  places  inacc<'ssible  l)}-  common  carrier  is  authorized, 
but  when  it  is  found  necessary  to  temporarily  hire  taxieabs  or  auto- 
mobiles the  voucher  should  contain  the  following  notation,  ''So 
other  means  of  transportation  available." 

46.  Purchase  of  books  ami  periodicals. — Regarding  the  pur- 
chase of  books  and  periodicals  the  Bpard  feels  that  resources  of  this 
type  should  ah-eady  ])e  in  the  ])ossession  of  a  State  department  or 
board  of  health,  and  if  it  sliouhl  be  found  necessary  to  make  any 
additions  tliereto,  it  should  be  done  with  strictly  State  funds  and 
vouchers  covei-ing  such  ]);iynients  not  submitted  to  the  Board. 

47.  Purcliase  of  office  rurniture.  Th(>  cost  of  strictly  oilice  fur- 
niture, such  as  desks,  chairs,  typewi-iters,  adding  machines,  electric 
fans,  etc.,  is  not  consid(>re<i  an  authorized  charg<'  against  these  funds  if 
the  articles  are  for  use  in  the  ollices  of  State  boards  or  departments  of 
health.     The  above  ruling  is  based  upon  the  wording  of  the  Federal 


17 

act  appropriating  these  funds  which  specifies  that  the  funds  are  to 
be  used  for  ''the  prevention,  control,  and  treatment  of  venereal  diseases." 
The  use  of  these  funds  for  enlargement,  repair,  or  construction  of 
buildings  is  prohibited. 

48.  No  other  »State  funds  available. — However,  if  there  are  no 
other  State  funds  available  from  which  to  make  purchases  of 
equipment  necessary  for  the  successful  prevention,  treatment,  and 
control  of  venereal  diseases,  the  matter  may  be  taken  up  with  the 
Board  prior  to  incurring  the  liability  and  the  application  will  be 
given  full  consideration. 

CLASSIFICATIOX    OF    EXPEXDITUEES. 

49.  Classification. — Each  voucher  must  be  distributed  under  its 
appropriate  classification,  viz,  "Administration,"  "Treatment,"  "Re- 
pressive measures,"  "Educational  and  publicity,"  and  the  proper 
budget  account  number  to  which  the  expenitdure  is  chargeable  must 
be  given.  Particular  attention  is  directed  to  the  fact  that  care  must 
be  used  in  debiting  the  expenditures  to  the  proper  budget  account 
number  that  the  disbursements  ma\^  be  correctly  charged  against  the 
proper  allotment  as  given  on  j^our  budget  under  "Activity  or  pro- 
ject." It  is  very  necessary  that  account  numbers  be  shown  on  all 
vouchers  as  those  not  bearing  account  numbers  will  be  returned. 

50.  Account  ledger. — It  is  suggested  that  State  boards  of  health 
keep  an  account  ledger  in  order  that  they  may  know  at  all  times  the 
balance  available  under  each  of  the  budget  accounts.  The  keeping  of 
such  a  book  wiU  be  very  necessary  beginning  July  1,  1920,  in  order 
that  boards  of  health  may  be  in  a  position  to  submit  quarterly  state- 
ment of  budget  balance  (Form  No.  22)^  promptly  at  the  end  of  each 
quarter. 

QUARTERLY    STATEMENT    OF    BUDGET    BALANCES. 

51.  This  form  is  to  be  submitted  to  the  Board  in  duplicate  at  the 
expiration  of  each  quarter,  viz,  September  30,  December  31,  March 
31,  and  June  30.  A  separate  report  will  be  submitted  for  the  1920 
"Revised  joint  State  and  Federal  budget"  and  the  1921  "joint  State 
and  Federal  budget"  in  accordance  with  instructions  printed  on  the 
back  of  the  form.  Upon  receipt  of  this  quarterly  statement  of 
budget  balances  it  will  be  compared  with  the  books  of  the  Board. 
Corrections  wiU  be  entered  in  the  columns  printed  thereon  for  that 
purpose  and  the  duplicate  copy  approved  and  returned  to  the  State 
board  of  health,  thus  keeping  the  State's  record  and  Board's  in 
agreement.  It  is  believed  that  this  plan  will  be  found  of  great 
advantage  to  the  States  and  wiU  prevent  the  overdrawing  of  amounts 
allotted  to  the  various  account  numbers  on  the  State  budget. 


18 

DISPOSITIOX    OF    VOUCHERS. 

52.  Numbering. — All  paid  vouchei-s  must  be  retained  in  the  files  of 
the  paying  official  until  the  close  of  the  mouth  and  tiien  be  numbered 
in  the  space  provided  therefor,  on  the  face,  each  State  commencing 
the  1921  series  with  No.  1  and  continuinor  consecutivelv  until. the  entire 
allotment  for  the  fiscal  year  1921  has  been  disbursed.  However,  for 
the  fiscal  years  1919  and  1920,  vouchers  should  continue  the  present 
scries  of  numbers  until  the  funds  for  those  fiscal  years  have  been 
entirely  accounted  for.  The  "brief"  on  the  back  of  tlie  voucher 
form  should  be  completely  filled  in  b}-  the  paving  official  before 
transmitting  the  paid  vouchers  to  the  Board  for  reimbursement. 

53.  Unused  voucher  numbers. — All  voucher  numbers  must  be 
accounted  for,  and  shoukl  a  voucher  be  canceled  or  a  number  not 
used  for  any  reason  a  notation  to  that  eft'ect  should  be  made  on  the 
monthly  report  opposite  the  numbers  in  ciuestion. 

54.  Summarizing. — Vouchers  must  be  summarized  on  the 
monthly  report  form  in  numerical  order  and  distributed  thereon 
in  accordance  with  the  classification  shown  on  the  voucher. 

55.  Disposition. — One  copy  of  all  paid  vouchers  must  be  trans- 
mitted monthh^,  together  with  one  copy  of  the  monthly  rejjort  form, 
to  the  United  States  Interdepartmental  Social  Hygiene  Board,  1800 
Virginia  Avenue  NW.,  Washington.  D.  C,  and  one  or  more  copies  of 
each  retained  in  the  files  of  the  State  department  or  board  of  health 
or  the  wState  official  making  the  payment. 

56.  Registering. — All  vouchers  and  monthh'  reports  should  be' 
fonvarded  to  the  Board  under  registered  cover.     Tliis  may  be  done 
without  cost  to  the  departments  or  boards  of  health  l)v  liavirg  the 
same  registered  as  official  under  the  Government  frank. 

57.  Signatures. — All  vouchers  and  monthly  reports  should  be 
carefully  examined  before  transmitting  them  to  the  Board  in  order  to 
make  sure  that  they  meet  the  requiremeiits  of  the  regulations  and  tli'.t 
all  necessirij  slgnitures  are  riffixed.  Careful  attention  given  to  this  sug- 
gestion may  prevent  vouchers  being  suspended  or  returned. 

MONTHLY    REPORT. 

58.  Number  to  be  made. — This  re])()rt  sliall  ])e  made  promptly  at 
the  close  of  each  month  and  may  ])e  pre])iired  in  du])licate,  triplicate, 
or  qua(lru])licate  in  accordance  with  the  special  requirements  of  each 
State.  All  vouchers  paid  during  the  month  for  which  this  report 
is  rendered  must  be  sumniarized  thereon  in  numerical  order  and  the 
amount  paid  distributed  in  accordance  wiili  the  classification  given  on 
the  voucher.  The  budget-account  number  given  on  the  voucher 
need  not  be  shown  on  this  report. 


19 

59.  Disposition. — One  copy  shall  be  forwarded  to  the  United 
States  Interdepartmental  Social  Hygiene  Board,  1800  Virginia 
Avenue  NW.,  Washington,  D.  C,  accompanied  by  the  paid  vouchers 
summarized  thereon,  and  one  or  more  copies  may  be  retained  by  the 
State  officials.  It  is  suggested  tliat  this  report  he  prepared  on  the 
typewriter. 

60.  Report  for  each  budget. — A  monthly  report  should  be 
submitted  every  month  for  each  budget  under  which  there  are  funds 
remaining  unaccounted  for. 

61.  Last  day  for  forwarding  vouchers  and  monthly  reports. — 
Monthly  reports  and  vouchers  should  be  forwarded  as  soon  after  the 
close  of  a  month  as  possible  and  must  reach  Washington  not  later 
than  the  25th  of  the  month  following  that  covered  by  the  report. 

62.  Where  no  disbursements  are  made. — If  no  expenditures 
are  made  during  a  month,  a  monthly  report  should  be  forwarded 
any  way  with  the  notation  thereon,  "No  disbursements  made." 

SIBIMARY    RECORDED    ON    MONTHLY    REPORTS. 

63.  Before  transmitting  the  monthly  report  to  the  Board,  the 
summary  on  the  back  of  the  same  must  be  proj^erly  filled  out,  in 
accordance  with  the  printed  instructions  thereon. 

The  summary  should  represent  the  joint  Stite  and  Federal  account 
and  begin  with  the  total  of  both  the  State  appropriations  and  the 
Federal  allotment  as  shown  on  yoilr  budget.  The  total  disburse- 
ments of  the  two  funds  during  a  month,  as  shown  on  the  face  of  the 
report,  is  to  be  deducted,  and  the  balance  remaining  will  be  the 
^'available  balance  for  the  continuance  of  the  work."  Repayments 
made  hy  Federal  Government  are  not  to  he  considered  in  miking  this 
summary. 

64.  Interest,  fees,  and  sales. — Money  received  on  account  of 
interest  on  bank  deposits,  sale  of  medicines,  fees,  etc.,  should  be 
taken  up  in  the  summary  on  the  back  of  the  proper  monthly  report 
by  a  special  entry  and  the  Board  advised  by  letter  as  to  the  budget- 
account  number  to  which  the  funds  have  been  credited  by  the  State. 

Interest  should  be  taken  up  imrhediately  upon  the  receipt  of  noti- 
fication from  the  bank  as  to  the  amount  of  interest  credited.  Re- 
ceipts from  the  sale  of  arsphemamine  and  other  medicines  or  fees 
received  for  treatment  should  be  taken  up  monthly  and  credited  to 
the  budget-account  number  charged  with  the  original  expenditure. 

STATE    LAWS. 

65.  These  rules  shall  not  in  any  way  conflict  with  State  laws,  or 
prevent  State  accounting  dej^artments  from  requiring  such  vouchers, 
receipts,  and  other  records  as  may  be  necessary  to  comply  with  the 
State  laws  or  the  State's  accounting  system. 


20 

CONCLUSION'. 

.  66.  In  conclusion,  the  Board  desires  to  thank  all  State  officials  for 
their  hearty  cooperation  in  the  past  and  to  assure  them  that  these 
rules  and  regulations  for  disbursing  the  joint  State  and  Federal  funds 
will  present  no  obstacle  either  in  connection  with  State  laws  or  the 
manner  in  which  State  appropriations  may  be  made  that  can  not  be 
overcome,  and  the  very  liberal  Federal  assistance  should  be  well  worth 
the  little  extra  clerical  labor  required  by  these  regulations.  However^ 
should  any  State  official  find  it  difficult  to  comply  with  these  regula- 
tions, it  is  suggested  that  the  matter  be  taken  up  promptly  with  the 
United  States  Interdepartmental  Social  Hygiene  Board,  but  this, 
suggestion  is  not  made  anticipating  that  it  may  be  advisable  in  any 
case  to  modify  these  regulations,  and  it  is  not  the  present  intention 
of  the  Board  to  do  so  unless  they  should  conflict  with  State  laws. 

It  is  the  desire  of  the  Interdepartmental  Social  Hygiene  Board  to 
fully  cooperate  with  each  State  and  assist  in  every  way  possible 
within  the  limitations  of  its  responsibilities  and  in  accordance  with 
the  laws  and  regulations  surrounding  the  disbursing  of  Government 
funds. 

All  correspondence  in  connection  with  these  regulations  or  the 
Chamberlain-Kahn  funds  to  be  addressed  to  the  Executive  Secretary 
of  the  Board,  1800  Virginia  Avenue  N^y.,   WasJiington,  D.  C. 

T.  A.  Storey, 
Executive  Secretiry, 
Vnited  Stites  IiHerdepartmental  Social  Hygiene  Board. 
Approved : 

C.  C.  Pierce, 

Assistant  Surgeon  General, 

United  Spites  Puhlic  Health  Service. 
Adopted  by  the  Board  June  2.5,  1920. 

O 


COLUMBIA  UNIVERSITY  LIBRARIES 

This    book    is    due    on    the    date    indicated    below,    or    at    the 
expiration   of   a   definite   period    after   the   date   of  borrowing,    as 
provided    by    the    library    rules    or    by    special    arrangement    with 
the  Librarian  in  charge. 

DATE    BORROWED 

DATE    DUE 

DATE    BORROWED 

DATE    DUE 

i 

■ 

C28(955)inOMEE 

-ILCI    KINDER 

yrocuse,  N.  Y. 
tockton,  Calif. 


Rcaoi.5 

Uh32 

1920 
U.S.     Interdepartmen^l^SociaJ^ 

Hygiene  Board. 

Revised  rules  and  regiilations  gov- 
erning exoenditures  frora  state  alloi 
ments  of  the  ^hamberlain-^^ahn  funds, 


mm  0^  191  iS 


r 


U.EENDEHV 


1  1^0 


